| NPI | 1154442416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A94062) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 070124) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2019-08-21 |